医療インプラントと外科

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Risk and Results of Concurrent Cardiac and Carotid Surgery: Single Center Experience

Pasqualino Sirignano

Patients who are having open heart surgery may be at higher risk and have worse outcomes if they have carotid artery stenosis. The study’s goal was to analyse the risks and results of concurrent carotid and heart surgery. Over the course of a 5-year period, we looked back at the medical records of 100 patients who had simultaneous open-heart surgery and carotid surgery (from 2006 to 2010). The mean age of the patients, who were split between 30 women and 70 men, was 70.9 years (median: 71.8 years). On 73 patients, coronary bypass grafting (CABG) was performed; on 18 patients, CABG and valve surgery were combined; on 7 patients, CABG was combined with other procedures; and on 3 patients, valve surgery was performed alone. 51 individuals had bilateral carotid artery disease, including 12 occurrences of contralateral carotid artery blockage. 71 patients underwent carotid artery patch plasty, and 29 underwent eversion method. An intraluminal shunt was employed in 75 instances. The 30-day mortality rate was 7%, and the causes were diffuse cerebral embolism (n=1), metabolic disruption (n=1), and cardiac problems (n=5). There were no fatalities as a result of carotid surgery. Following surgery, one patient experienced acute cerebral ischemia, whereas the other experienced a stroke with a minor, long-term neurological disability (Rankin level 2). The risk of simultaneous open-heart surgery and carotid artery surgery is low. The outcome is affected by the underlying heart condition.